Vaginal septum symptoms?
summary
Transvaginal septum refers to the vaginal plate, which is formed by the proliferation and growth of the urogenital sinus - vaginal bulb to the head in the embryonic period. It is blocked when the cavity is changed from the bottom to the top, and the vaginal septum is not penetrated or not completely cavitated. The transverse septum can occur in the higher segment of the vagina, and some of it can be closed, which can not affect the sexual life and can be pregnant, but it affects the delivery of the fetus during delivery, so it is appropriate to do the transverse septotomy during delivery; The transverse septum can occur in the lower part of the vagina, which can affect the sexual life. When the vagina is completely closed, transvaginal septotomy should be done in time. Vaginal septum symptoms? Let's talk about it.
Vaginal septum symptoms?
The patients with no hole in the vaginal septum may have periodic lower abdominal pain without menarche, the patients with small hole may have the symptoms of poor menstrual blood flow, and the patients with the vaginal septum in the middle and lower segment may have unsatisfied sexual life. Some patients may have no clinical symptoms.
During the examination, we first observed the position of the transverse septum, which was rarely seen in the low position, and then observed whether there were small holes on the transverse septum (often in the central part). If there is a hole, a probe can be inserted into the hole to explore the width and depth of the vaginal cavity above the hole; If there is no puncture hole, a thick needle can be used to puncture. Pay attention to the depth of the puncture when the hematocele is extracted to estimate the thickness of the diaphragm, and then insert a surgical probe through the puncture hole to understand the width and depth of the vaginal cavity above the diaphragm, so as to make a definite diagnosis.
Whether the vaginal septum has clinical symptoms first depends on whether there are small holes in the septum, and then on the position. There are also differences in thickness, some vaginal septum is very thin, like paper, some are thicker. Complete vaginal septum is rare. Most of them have a small hole in the center of the septum. Sometimes they can only pass through a fine probe, and the menstrual blood can flow out without symptoms. It is not found until after marriage because of difficult sexual intercourse or fetal head obstruction during delivery. If there is no pore, if symptoms of blood retention occur after menarche * When the transvaginal septum is found, we should first pay attention to whether there is a small hole on the septum (usually in the central part). If there is a hole, we can use the probe socket to explore the width and depth of the vagina above the small hole to make a diagnosis. Incomplete vaginal septum is common, and is often ignored without clinical symptoms.
matters needing attention
1. If there are no symptoms or the diaphragm is thin, the operation may not be performed temporarily. 2. For those with low position, unsatisfied sexual life or infertility, take the small hole as the center, make an "X" shaped incision around and separate the mucosal piece, and repair the wound after incision. 3. If there is no hole, the operation should be carried out in time after the diagnosis, and the puncture needle should be taken as the center to make an "X" shaped incision and repair.